Provider Demographics
NPI:1780829267
Name:A&A CARE MANAGEMENT
Entity Type:Organization
Organization Name:A&A CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HORN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BS
Authorized Official - Phone:916-436-6252
Mailing Address - Street 1:220 STONEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-1637
Mailing Address - Country:US
Mailing Address - Phone:916-436-6252
Mailing Address - Fax:916-988-2519
Practice Address - Street 1:220 STONEBROOK DR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-1637
Practice Address - Country:US
Practice Address - Phone:916-436-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA09-140251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management